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Research Article Open access CC BY 4.0

Syndrome of Orthostatic Hypotension with Supine Hypertension: A Therapeutic Dilemma for Cardiologists

M. Naaim, N. Malhabi, M. Ztati, M. Eljamili, S. El Karimi, M. El Hattaoui

Cardiology and Angiology: An International Journal · pp. 171–179 · Published 8 Aug 2023

10.9734/ca/2023/v12i4356

Abstract

Orthostatic hypotension (OH) and supine hypertension (SH) are two cardiovascular symptoms of autonomic failure that frequently coexist in the same patient. Clinicians are faced with a dilemma because aggressive orthostatic intolerance treatment can exacerbate supine hypertension, and vice versa for supine hypertension management. The objective of our article is to provide a better framework for the clinical evaluation, the right choice of therapeutic options and the improvement of the quality of life of patients with OH-SH syndrome. For these reasons, we report three observations, whose etiologies, clinical presentation, and treatment are different, namely diabetes, multiple system atrophy type C (MSA) and Parkinson's disease.

Orthostatic hypotension supine hypertension cardiovascular symptoms

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